Heart of Florida Health Center Inc
Organization Active NPI Federally Qualified Health Center (FQHC) · Reddick, FL
NPI 1235533845 · NPPES record last updated Feb 7, 2023
Key facts
- NPI
- 1235533845
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- HEART OF FLORIDA HEALTH CENTER INC
- Practice address
- 4500 NW 152ND LN
Reddick, FL 32686-3200 - Phone
- (352) 732-6599
- NPI assigned
- Oct 13, 2014
- Organization subpart
- No
Authorized official
- Name
- Matthew Clay
- Title
- Ceo
- Phone
- (352) 732-6599
Other NPIs on the same Medicare enrollment 9
Practitioners 28
-
Martha Alvarez, FNP-BC
-
Ivette Colon-Reyes, M.D.
-
Crystal Duhart, LMHC
-
Norine Lynn Faatz, APRN
-
John K Fusselman, O.D.
-
Kristi G Lipps, ARNP
-
Elvira Silveria Mercado, M.D.
-
Bridget McGill Boynton, ARNP
-
Jessie M Caudill, FNP
-
Nidia J Cruz-Ortiz, LCSW
-
Duane William Cunningham, ARNP
-
Kathleen Ann Dibble, FNP, PMHNP
-
Nicholas Dorsey, M.D.
-
Megan Geiger, LCSW, MCAP
-
Jennifer Lynn Hefner, MSN, ARNP
-
Alfonso E Martinez, M.D.
-
Amy Diane Morgan, ARNP
-
Ramkrishna Sharma, M.D., M.P.H.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080523000427 | FL | Part B Supplier - Clinic/Group Practice | 1355410838 |
Receives reassigned benefits from 84 practitioners 9 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Ocala, FL; Reddick, FL; Dunnellon, FL; Belleview, FL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
4500 NW 152ND LN
Reddick, FL 32686-3200
Mailing address
1025 SW 1St Ave
Ocala, FL 34471-0900
Phone (352) 732-6599
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001718304 | Medicaid | FL |
Other providers in Reddick, FL
- Terrence Evans
- Extreme Property Solutions
- Goodluck Pharmacy Inc
- Consandia A Grier
- Hands 2 Hands Support Services
- Heart of Florida Health Center Inc
- Inclusive Care LLC
- Jahema Enterprise Inc
- Tonya Alicia Johnson
- KWB Companion Services, LLC.
All providers in Reddick, FL · Federally Qualified Health Center (FQHC) in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.